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“Just Stop Running” Is Usually Incomplete Advice
I have heard some version of this from runners for years: “It hurts when you run? Just stop running.” There are absolutely times when I tell a runner they cannot run. A suspected bone stress injury is an obvious example. High-impact activity may need to stop while the athlete is appropriately evaluated, followed by progressive loading and a gradual return to running.¹ But for many running injuries, “just stop running” isn't a treatment plan. As a physical therapist, I want to
Men and Women Don’t Always Get the Same Running Injuries
As you know by now, if you have been reading my blog - there are a lot of things that can contribute to a running injury: training history, previous injuries, strength, recovery, nutrition, sleep, biomechanics, and what changed before the pain started. Sex is another piece of that picture. For a long time, sports medicine research was heavily weighted toward male athletes. We now have better data showing that although male and female runners may have similar overall rates of
Are Hills Hurting You—or Are You Just Not Ready for Them?
Living and running in Atlanta, avoiding hills is almost impossible. I frequently have runners tell me that “Hills hurt.” Sometimes my clients have stopped running hills completely because they assume hills are bad for their knees, Achilles, calves, hamstrings—or whatever happens to be bothering them. But hills aren't inherently bad. They are just a different training stimulus. Just like adding mileage or speed work, adding hills changes what we are asking the body to do. If
Why Is My Physical Therapist Asking Me What I Ate Yesterday?
You made an appointment with a physical therapist because your knee hurts when you run. Then I start asking about your sleep, what you ate yesterday, your training schedule, stress at work, previous injuries, shoes, menstrual cycle, and whether you've ever had anemia. You may be thinking: Are we eventually going to talk about my knee? Yes. But first, I need to know more about you. When I evaluate a running injury, the conversation we have before I start testing strength, mobi
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